Mod 112-3

Created by jmdukes 

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MBC

Is it the coder's responsibility to ensure that the data is accurate as possible not only for classification and study purposes, but also to obtain appropriate reimbursement?

True

In the M/care guidelines it allows kickbacks from patients under certain circumstances.

False

Information given in the notes preceding a subsection is also contained in the section Guidelines

False

Parenthetical phrases that sometimes follow a code or code group provide further info about codes tat may be applicable

True

Unlisted codes are assigned to identify procedues for which there is not more specific code.

True

Third party payers determine the contents of a surgical package.

True

Part B services are billed using

ICD-9-CM, CPT, HCPCS codes

Know the physician payment reform

Limits providers liability

If a QIO provider renders a covered service that costs $100 and bills M/care for the service and M/care allowed $58.00 the provider would bill this amt to the patient

$0

What plan is M/care prescription drug fall under

Plan D

What M/care Plan had M/care advantage

Plan C

? are activities involving the transfer of hlth care info and ? means the movement of electronic data between two entities and the technology that supports the transfer

Transactions---Transmission

What needs to accompany the claim when an unlisted code is used?

A special report

What does the surgical package include?

Tempical follow-up care

What is the usual global surgery period for a major procedure

90 days

What does the usual global surgery period include?

All routine, pre-op, post-op care

What type of anesthesia is used for a simple closure of benign lesion of the skin?

Local

The divisions of the surgery section are based on?

Body system

What does a triangle before a code mean?

Revised code

Match the M/care parts w/ the coverage:
Hospice Care

Plan A

Match the M/care parts w/ the coverage:

Prescription Drug

Plan D

Match the M/care parts w/ the coverage:

Physician visits

Plan B

Match the M/care parts w/ the coverage:
Automatic coverage when age 65

Plan A

Match the following, common procedures and suffixes with the correct definition.

To remedy, replace, heal

Repair

Match the following, common procedures and suffixes with the correct definition.

Suffix for molding or surgically forming

PLasty

Free flow or withdrawal of fluids from a wound or cavity

Drainage

Cutting or taking away

Excision

To unite parts by stitching them together.

Suturing

inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision

Endoscopy

Scraping of a cavity using a spoon-shaped instrument.

Curretage

Forcing a fluid into a vessel or cavity

Injection

Sufix for suturing

Rraphy

Suffix for puncture of a cavity

Centesis

Suffix for removal of part or all of an organ of the body

Ectomy

Removal of a small piece of living tissue for diagnostic examination

Biopsy

Surgically cutting into

Incision

Binding or tieing off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization

Ligation

Suffix for incision into

Otomy

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